MEDICARE: BRIGHTER FUTURES DEVELOPMENT CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1467303438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER FUTURES DEVELOPMENT CLINIC LLC

Provider Business Mailing Address
First Line	:	5030 PETERS CREEK PKWY # 1002
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-7276
Country	:	US
Telephone Number	:	336-403-6371
Fax Number	:

Provider Business Practice Location Address
First Line	:	4043 MEREDITH WOODS LN
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27107-6975
Country	:	US
Telephone Number	:	336-403-6371
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDON KEITH HORNE
Credential	:
Telephone Number	:	336-403-6371

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	03/16/2026

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